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| GROSSLY DILATED STOMACH UP TO PELVIS DUE TO GASTRIC OUTLET OBSTRUCTION,AND OLD G.J STOMY STENOSIS |
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| old g.j. site near prepyloric area from which the stenosed loop of jajunum was seperated. |
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| Billroth 2-gastrectomy closed partialy to allow revision g.j. by roux- en- y- loop |
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| stomach specimen |
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| all anastomosis completed. |
a 35 yr old male presented with severe abdominal pain presented in emergency.he had h/o some abdominal surgery 15 years back,no papers available. o.g.d. scopy revealed complete pyloric stenosis with severe gastric dilatation .no g.j stomy was appreciable.on ct scan , stomach showed severe gastric dilatation and block. on exploration , old stenosed gj stomy was found in prepyloric region with ? mass, loop separated an on table frozen section done which was negative for malignancy.so revision billroth2 gastrectomy with roux-en-y g.j.stomy was done. uneventfully post op,on 7 the day pt was discharged home absolutely fine , taking orallyfood .done by ME,DR DHAVAL PATEL, DR VYAS, DR RANPARIA,emergency frozen section done by DR PRANAV DESAI.
